Peter Miles Waterman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

19293 Issued in AZ

Practice address

2000 E Southern Ave
Ste 102
Tempe, AZ 85282-7510

Phone

(480) 820-9141

Fax

(480) 820-3785

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Partners of Arizona LLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1619452901

  AZ

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1023099751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 42065 PO BOX 650823",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "469-998-7443",
            "fax_number": "469-649-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SOUTHERN AVE",
            "address_2": "STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827510",
            "telephone_number": "480-820-9141",
            "fax_number": "480-820-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "PETER",
        "middle_name": "MILES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "19293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358996",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hodan Abdi Warsame
• Stacia Andrea Wartz
• Rita M Washko, M.D.
• Kirsten Wassum
• Water Lily Health & Wellness LLC
• Cherene Watkin, LPC
• Kipperly Gayle Ann Watkins
• Makayla Xaviera Watson-Wales
• Jarrod Newell Watson, PT, DPT
• Parris Watson, MSW, LCSW

• Anesthesiology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.